How to Fake Your Pregnancy (without really trying)

Unlike Shining going to the Canterlot Clinic, Cadance did not have to sit in a waiting room. Princess Celestia had sent a message ahead to inform the doctor to expect Cadance's arrival. She was seen to as soon as she walked in.

"Princess Cadenza!" Dr. Dova greeted, bowing politely, "What a pleasure it is to see you again."

"Doctor, please. How many times must I ask you to just call me Cadance?" Cadance asked, returning with a curtsy.

"At least one more time, Ms. Cadenza," the beige Earth pony said, bowing a bit lower, staying professional as ever.

When Dr. Dova was scouted by the former Royal OB/GYN for an apprenticeship, he'd already had an extremely successful practice in the field of equine feminine medicine. His professional record was immaculate. And there was no higher honor for physicians of his ilk than to be the Royal OB/GYN. (After all, even princesses needed doctors.) But then, most ponies didn't even know that the position existed at all.

The position Royal OB/GYN was known only to the four princesses, and the doctor themselves. It required the physician to have the utmost loyalty and discretion. To know, only unto themselves, the honor to serve their Princesses in the most intimate way, and to tell nopony of it, it was a secret taken to the grave, passed on only to an apprentice, chosen for their loyalty, and professionalism in the field. Taken on, to take up the mantle of the Royal OB/GYN, when his master can no longer fulfill their duties.

For Dr. Dova, that was six years ago. At the time, he had only two clients, Princess Celestia, and Princess Cadance. With the return of Princess Luna, and the coronation of Princess Twilight, his client list had doubled.

Four appointments a year with a generous annual salary and full retirement pension, for the honor, nay the privilege, to serve the four most beautiful, most exquisite marehoods in the world; He wouldn't trade it for the world. Even if it did mean being on-call, 24/7. This was one of those times.

"What brings you in this afternoon, Your Highness?" he asked, escorting her to his exam room.

"Did my aunt not say?" Cadance asked.

"Your Grace, she only sent word to expect your arrival. Beyond that, as to the nature of your visit, she did not say. I believe it was her intention to not speak out of turn on your behalf. But that is only my humble speculation. I do not claim to know her mind," he said, nodding in penance.

"That's okay," Cadance said. "It's just that, Shining and I have been trying to have a foal. And Aunt Tia said that I should speak with you about it."

"And how fairs the Prince? He surely has the envy of every stallion everywhere, if I may say so." Cadance blushed.

"He's adjusted to royal life well. And he's... he is a wonderful spouse."

"I'm happy to hear that. But, you said that you are trying to have a foal?"

"Yes, it's just that, after talking with my aunt..." she exchanged a knowing look with the doctor. He put his hoof on hers.

"I'm sorry," he said. In his practice, he'd dealt with other mares dealing with the discovery that they were barren for a variety of reasons. His former master had taught him of the closely guarded secret. That the immortality of alicorns came with a heavy price of infertility. "I wish it wasn't so."

"Thank you," Cadance said, wiping a tear from her cheek. "But I'm here today to deal with that. I told her I wanted a foal. And she said that you knew a way that I could."

"I... do. After a fashion," he said with some hesitation. "Did she explain what was involved with an adoption?"

"She only said that I would have to 'fake my pregnancy' to make it appear that the adopted foal was mine by birth. What does that even mean?"

"Did she not explain what would be involved with that?" he asked. Cadance shook her head. He sighed and took a deep breath.

"Well, the procedure would involve a combination of an I.U.D., hormone therapy, and a lot of your patience."

"I.U.D.?"

"Forgive me, an Intra-Uterine Device. A... balloon, for lack of a better description, to physically simulate a pregnancy, then, with a course of hormone-"

"A balloon!?"

"I'm sorry. This is the first time I've ever had to describe this," he said. "It would be a water-filled balloon inside your uterus, slowly inflated over the course of eleven months to physically simulate your pregnancy."

"Oh."

"And then a course of hormone therapy would simulate the physiological changes your body would experience as a normal-" he cut himself off, censoring his insensitivity, "as a pregnant mare." Cadance stood there for a moment, absorbing the information. Dr. Dova stood there, waiting obediently for her response.

"I want a foal," she said at last. "And I can't have one of my own. I need to adopt. But I need to make it seem that it is my foal by birth." She looked at him. "I'm ready to do whatever it takes. What's our first step?" she asked him. He bowed again on reflex.

"The first step is a standard pelvic exam. And then a prescription, and then we can begin your 'pregnancy'." He motioned her into the exam room, toward the exam table with the stirrups. Cadance walked in and sat up onto the exam table in a practiced motion from the last time she was in this room.

"Is this really necessary?" she asked, "I just had a pelvic exam less than a year ago."

"I know." He remembered fondly. "But to me, there is nothing more important in the world than your vaginal health. That is my job," he said. "But more specifically, I am checking for different things this time, for this procedure, Princess Cadenza."

"Considering where your hoof is about to be, it's strange that you still use my formal name," she said. "Ever the professional."

"Always," he replied. Cadance put her legs into each of the elevated stirrups, laying back on the table and letting her knees fall apart as her tail fell away, revealing her most intimate parts, on full display to the doctor.

Under the common law, it was a crime to even look at the royal posterior. Although he was unsure how such an archaic and obscure law was even enforced in modern times, if it was at all. All he knew was that growing up, he was told by his mother that ponies that looked at the Princess's (then, only Celestia's) behind, burned in Tartarus for all eternity. As an adult, a doctor, a stallion of science, he knew that such things were simply old mares' tales.

But part of him, a tiny part of him, deep down in his heart of hearts, feared for his eternal soul. He closed his eyes and silently prayed forgiveness of the divine, bowing his head to the cold, tile floor of the exam room, as he did before each and every royal exam.

I am not worthy. I am not worthy. I am not worthy.

He rose to his hooves and opened his eyes. Before it sent him to Hell, the sight took him to Heaven. Princess Cadance, spread-eagle before him, her delicate flower, blooming its petals just slightly, just... perfectly. Simple photons, received by the simple receptors in his simple eyes, interpreted by his simple brain. But perhaps, somewhere in there, in this sight, was a glimpse, just a glimpse, into the divine. The tiniest minutia of understanding for his fragile, mortal mind, of the meaning of life, the universe and everything.

"Why do you always cry just before?" Cadance asked. He quickly wiped his eyes.

"I'm not crying," he lied, "I have overactive tear ducts." He washed his hooves in the sink. There was just the faintest pang in his stomach. A heat, burning. He thought about the prince, Shining Armor.

We've been trying to have a foal

He felt his cheeks burning at the notion.

Shining Armor, some common -unicorn-, putting his- GRRH! PENIS! In there! F-F-fucking her like some common whorse! His emotions were on fire. The very thought of that pony on top of her in some bed- f-fucking her, it was as though he was imagining somepony raping a church. His place of worship. How DARE he!? How dare ANYPONY!?

He dried his hooves with paper towel, pushing the thoughts away, keeping his feelings firmly in check. Princess Cadance, and the other Princesses were free to take any suitor they choose. It was not his place to judge, only to care for, the princesses.

After all, he was not worthy.

He pulled on his gloves to begin the exam. They were very long, latex tubes, running up to his elbow. Beginning the exam, he had done it many times before. But it was always special. As a courtesy, he forewarned her of his actions.

"I'll begin with placing my hooves at either side of your-"

"You don't have to narrate it again. I know what to expect," Cadance said from on the exam table. He nodded and proceeded. Placing his hooves at either side of her marehood, pausing at just the last moment before contact in reverence, quickly steeling himself to once again cross that threshold. And just as quickly, his hooves were upon her loins. He pulled his hooves apart, spreading her pink, vulva lips. Within, she was pinker still. A strand of her wetness arced across her opening before breaking after a moment. He examined the outer parts of her, ensuring her health thereof, committing every line, every curve, every fold, to memory.

Did the Captain have such reverence for this delicate beauty? Did he even CARE? Or was it just so much another fuck-toy for him?

The Doctor chastised himself for the thought. He retrieved the metal speculum from his cabinet drawer and prepared a small bowl of warm water, letting the device warm laying in it.

"Thank you," Cadance said, grateful to not have cold metal within her. Dr. Dova would have it no other way.

"Of course." After a moment, he took the speculum from the warm water, placing it gently at her holiest of hollies, giving her a moment to prepare herself. She took a breath and nodded, gasping as he gently slipped it inside her. Cadance felt the pressure of it inside her, moving smoothly with its polished metal surface, until it was completely within her. "Small pressure."

"Mmmf," Cadance stifled a moan of discomfort as he pressed on the lever of the device. He opened the spreader, slowly pulling the speculum open inside her, spreading wide her vaginal canal. He turned on the light on his headband and knelt to look within. His narrow scope of vision reduced it to a clinical exam rather than a spiritual experience. He checked the health of her vaginal lining and the appearance of her cervix. Everything looked normal, healthy, and... perfect. He let the device close together inside her, gently pulling it from her until it slipped free.

"All set," he said. "Everything looks good." He placed the device on the tray, and removed his gloves. "You can get down out of the exam table now," he said, facing away from her for privacy. Even after all that had just happened, seeing her in ways that her husband had likely never seen before, he tried his best to afford her some measure of modesty. She climbed down off of the exam table.

"So what now?" she asked.

"Now..." he trailed off, "Now we start the first part of your hormone therapy. There are a few ways to go about it, it just depends on your preference of the mode of delivery."

"What do you mean?"

"Well, there's pills, the topical rub, injections-"

"Ooh, I don't really like needles," Cadance said.

"Oh, it wouldn't be intravenous. It's more of a..." he looked at her, trying not to blush, "it's more of a douche."

"Like, in my puss- in my vagina?" Cadance asked, using the technical term.

"Sort of, yes. Which would you prefer?"

"Which would be most effective?"

"Honestly? The douche," he said. "The purpose of the first course is to trick your body into thinking that you are preparing to mate and dilate your cervix."

"What are the side effects?" she asked. He flipped through her file folder quickly.

"You were... fourteen at the time of your ascension?" he asked. She nodded. "Had you experience your first heat before then?" She nodded again.

"Yes. It was almost unbearable!" she confided. "I couldn't stop-" she blushed, but remembered that this was her doctor, her confidant. "I couldn't stop touching myself. I just wanted so badly- no, I needed to have something in me."

"I understand. It will feel something like that. A lot like that, actually."

"Well, at least I have Shining now," Cadance said.

"Small miracles," he muttered under his breath.

"When do we start?" she asked. He took out a large, plastic injector and a bottle of liquid hormones.

"We start now," he said, guiding her back up onto the table, and made a twirling turn-around motion with his hoof, drawing up a measured amount of the liquid into the tub with the plunger. Cadance knelt on the table. "Lean down," he instructed. Cadance placed her head against the table, propping her ass up into the air. Behind her, he applied a bit of lubricant to the tube and pressed it against her opening. Her lips parted and he pushed it down inside of her. The tube had a small, narrow nozzle at the end. Cadance felt it bump against the end of her tunnel, deep inside her.

"I need to, um..." He placed his hoof against her belly, applying a small bit of pressure to direct her uterus. Inside, he angled her cervix to line up with the nozzle. "Aaand a small pressure. Maybe a bit of cramping." He pushed the narrow nozzle into the entrance of her cervix. Cadance whimpered. "I'm sorry. It'll only hurt for a moment." He pushed it through the tiny opening to her womb. He pressed down on the plunger with his hoof, injecting the liquid.

"Ooh! It's cold!" she cried.

"The hormones have to be kept refrigerated until they are activated by your body heat," he explained, flooding her womb with the serum. Shining had cum inside her many times before. Sometimes as much than the volume of serum she was receiving now. But very rarely did any significant amount make it inside her uterus. The doctor was actively directing its entire contents directly into her cervix. Cadance whimpered and pulled at the exam table cloth.

"I'm sorry, Princess. I know this must feel uncomfortable. We're almost done," he said as he emptied the rest of syringe into her. "There we go. All done," he chided, as though trying to encourage a small filly. Cadance tried to rise. "No, no! Stay put!" he said, keeping her in that position, ass in the air.

"How long do I have to stay like this?" she asked, feeling the cold fluid sloshing around inside her.

"At least five minutes for effect. The longer, the better," he said. He turned around and got an orange bottle from the drawer, filled with pills. "How..." he paused for a moment, choosing his words. "How honest are you planning to be with your husband about this?"

"Excuse me? I plan on telling him everything. Why?"

"Well, it's just that I've found, when it comes to these sort of things... that the fewer ponies know, the better." He looked at her, prostrated on the table. "How good is your husband with keeping secrets?"

"HEY GUYS! Guess who just took a -Princess's- virginity? THIS GUY!"

"Not very," Cadance admitted.

"Well, what you choose to tell him, or not, is ultimately up to you. But I would strongly advise against it," he said.

"But... he's going to want to come along to appointments at some point," Cadance said.

"Don't worry. We have just the things for that situation," he said. He pulled open the closet, taking out some pads with wires. "Hey, how about we listen to that baby's heartbeat?" he asked, sticking one of the adhesive pads to her belly. The audio device began emitting the sound of a pair of heartbeats, clearly a recording. "It sounds like both mom and baby's heart are doing great!" he recited, with false enthusiasm. "I know, let's get a look at the little guy!" He took out some more equipment, setting a monitor on the counter, connecting some electrical leads. He placed the ultrasound probe against her belly and started 'emitting'. And image of a fetal pony appeared on the monitor. Also clearly a recording. "Yep, it sure looks like your pregnant!" He took it away from her belly. The image flickered off.

"Okay. I guess that'll work," Cadance said.

"I'm going to be moving my practice to the Crystal Empire to better service you. Starting a week from today."

to better service you

Cadance felt the cold in her abdomen become replaced with a radiating warmth, spreading into her loins. Her skin felt flush, her vision blurred, and her thoughts became a haze, bordering on euphoria. She felt like she had drank too much cider. And more than anything, she felt very, very horny.

"I could think of a few ways that you could better service me right now," she purred, slinking her way off of the table toward him.

"Your Highness, please!" He implored her. "It's a side effect of the hormones." She just looked at him with those bedroom eyes. She turned around and flagged her tail at him, inviting him to mount her.

"Take me! Rut me right here, right now! Make me your mare!"

He could plainly see that the liquid hormone treatment that he's given her was running freely from her marehood in little rivulets down her pussy lips and along the insides of her thighs. He felt a stirring in his own loins that he had been suppressing all afternoon. It would be so easy. He could have her, and there was no risk of her becoming pregnant. And she could blame it on the hormones, and he could blame it on her commanding him to 'service her'. It would be so easy... His hoof reached out...

He quickly grabbed a can of compressed air from the counter and sprayed it. The rapid decompression causing it to quickly become very cold. He blasted her behind with the arctic wind, causing her to snap out of her hormonal daze. He turned the can onto himself, spraying his own crotch even more, not stopping until nearly giving himself frostbite.

service before self

"I'm sorry!" Cadance blurted. "Thank you for... keeping me from making a big mistake."

"Of course." Dr. Dova chewed his lip, wincing at his own agony. "I'll... I'll lower the dosage for next time." He passed the bottle of pills to her. "Don't forget these," he gave her a small kit as well. "And this."

"What is it?"

"Well, the hormone pills will help to prepare you for the procedure in a week. But you can tell your husband that they are 'fertility' pills. And then you two..." he made an implying motion with his hoof, "and then you use this pregnancy test kit. It's rigged to give a positive result no matter what," he explained. "You come back here after a week and then we'll get you set up with your I.U.D. and different medication." Cadance took the bag from him.

"Thank you Doctor. I'll see you in a week," she said, walking out of his office. Dr. Dova walked back into the exam room, looking at her wetness on his gloves, the table, and droplets on the floor. He wanted nothing more than to press his snout into the wetness and clop himself silly to her scent.

He opened the closet, fetched a couple of bottles, and scrubbed everything down quickly with a strong solvent, washing everything away. On his knees, he scrubbed the tile floor of the droplets. His nose burned with the acrid stench of the chemical cleaner. Her scent was not his to enjoy.

I am not worthy. He thought to himself over and over as he scrubbed. I am not worthy.